Are you engaged in Masters level social work at your above agency? *
Your answer
As part of your practice, are you engage in Counseling (e.g. giving feedback, delineating alternatives, helping articulate goals, providing needed information) while under supervision? *
Your answer
As part of your practice, are you engage in Psychosocial Intervention (e.g. family systems therapy, group interventions, environmental modifications) while under supervision? *
Your answer
As part of your practice, are you engage in Psychosocial Intervention at the administrative level (e.g. client centered advocacy, community organization, organizational change) while under supervision? *
Your answer
As part of your practice, are you engage in Social Psychotherapy (e.g. assessment, diagnosis, treatment, psychotherapy, consultation, evaluation, interventions directed to interpersonal interactions) while under supervision? *
Your answer
Who is your clinical supervisor? Full Name *
Your answer
You are aware this is a 1 day supervision and does not constitute a full training supervision agreement for ongoing supervision. *
What are you hoping to get out of this supervision retreat? *
Your answer
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